Implantação do sistema acolhimento com Classificação e Avaliação de Risco e uso do Fluxograma Analisador

Routine workflow in a reference clinical research center in face of COVID-19

OBJECTIVE

To develop and validate the content of workflows for trial participants care in a clinical research center during the Covid-19 pandemic.

METHOD

development study by consensus of experts carried out from March to July 2020 in southern Brazil. The flowcharts were developed following literature and validated by specialists considering comprehensiveness, clarity and pertinence, obtaining a 100% agreement index on each item of the developed instruments. The study was approved by the Ethics Committee of the institution.

RESULTS

two flowcharts of care were elaborated and validated: "Flow diagram to conduct protocols with research participant " and "Flow diagram in protocols with research participant with suspected or confirmed COVID-19 infection"; which describes activities to ensure continuity of care.

FINAL CONSIDERATIONS

a routine workflow can promote the continuity and safety of clinical research protocols. It is expected that the adopted flowcharts in this study can guide other institutions with a similar research profile.

USER EMBRACEMENT WITH RISK CLASSIFICATION: PERCEPTIONS OF THE SERVICE USERS OF AN EMERGENCY CARE UNIT

ABSTRACT Objective: to investigate the perception of service users of an emergency unit, regarding attendance based in User Embracement with Risk Classification. Method: his descriptive-exploratory study, with a qualitative approach. The data were collected from 20 service users through an audio-recorded interview, guided by the following question: Tell me about your initial attendance, the user embracement with risk classification, which you received in this unit. Results: content analysis was undertaken with the data in thematic modality, from which two categories resulted: Risk classification as an advantage in attending emergencies; and Disagreement with the risk classification established by the professionals. Although the service users perceived User Embracement with Risk Classification as a measure which optimizes attendance in emergencies, some users disagreed with the classification made by the professionals. Conclusion: the objectives of User Embracement with Risk Classification need to be better publicized, with a view to the better acceptance of its results by society, as when classified as being of lower priority, the service users mention feeling unsafe and dissatisfied.

[Embracement with risk classification in the emergency department from the perspective of older adults]

OBJECTIVE

To assess practices of embracement at the patient intake area of the emergency department of Porto Alegre Clinicas Hospital from the perspective of the older adults.

METHODS

Qualitative investigation using the case study approach with 30 older adults trough semi-structured interview between July by November 2010. Data were assessed by thematic analysis with the Nvivo software suite.

RESULTS

Responses focused on wait times and on the role of nurses in patient classification. User embracement practices enhanced the work process and highlighted the direct contact between nurses and users.

CONCLUSIONS

The care needs of the older adults, the respect for the assessment protocol intervals and work on internal and external network can be improved in order to qualify attention to these patients.

Assessment of user embracement with risk rating in emergency hospital services

Cross-sectional and quantitative study, conducted in 2013, aiming to evaluate the implementation of User Embracement with Risk Rating (ACCR) in four Emergency Hospital Services. One hundred fifty six nurses participated and answered the questionnaire "User Embracement with Risk Rating". The data were treated through descriptive and inferential statistics, from the Kruskal-Wallis test. The implementation of ACCR was assessed as precarious, mainly due to the lack of referral of low complexity cases to the basic health system, the inadequate physical space for companions and the lack of discussion and periodic assessment of the flow of care in ACCR. The dimension Result of Implementation obtained a slightly higher score and Structure was the dimension with the lowest score. It was concluded that the negative assessments by nursing professionals of the referred dimensions in the investigated sites suggests the need for improvements, especially in the dimension Structure.

Welcoming with risk classification in teaching hospitals: assessment of structure, process and result

OBJECTIVE

To assess, from the worker's viewpoint, the structure, the process and the results of the Emergency Hospital Services that have taken up the guideline of "Welcoming with Risk Classification" in two teaching hospitals of the state of Paraná.

METHOD

Quantitative and descriptive research, exploratory and prospective, using random sampling stratified by professional category, comprising a universe of 216 professional people.

RESULTS

They found some points of agreement regarding the promotion of a welcoming and humane environment; privacy and security; welcome and shelter of the companion and also the sheltering and classification of all patients; however, there was disagreement about the comfort of the environment, reference system and counter-reference, prioritisation of seriously ill patients in post-classification service, communication between the members of the multi-professional team and reassessment of the guideline.

CONCLUSION

The workers assess the development of the guideline as being precarious, due mainly to the lack of physical structure, due to the lack of physical structure and shortcomings in the service process.